scholarly journals Developmental health in the context of an early childhood program in Brazil: the “Primeira Infância Melhor” experience

2019 ◽  
Vol 35 (3) ◽  
Author(s):  
Tonantzin Ribeiro Gonçalves ◽  
Eric Duku ◽  
Magdalena Janus

Design and evaluation of early child development (ECD) programs are poorly documented in low- or middle-income countries. The study aimed to identify family and child characteristics associated with developmental health outcomes among children aged from 4 to 6 years who participated in the “Primeira Infância Melhor” - PIM (Better Early Childhood), a home visiting program in Rio Grande do Sul State, Brazil. We also evaluated the impact of PIM on developmental vulnerability at school entry using a comparison group. Multistage sampling was first used to select cities, then families, in different regions of the state, resulting in a sample of eight cities and 571 children (364 PIM; 207 comparison). We used a sociodemographic questionnaire, completed by parents, and the Early Development Instrument (EDI), completed by teachers. Among PIM children, lower family income, time of exit from the program, city, and younger age were associated with higher risk of developmental vulnerability and/or with lower mean scores in EDI domains. Multivariate analysis controlling for covariates found no differences between the study groups in EDI outcomes even though the gaps in equity of the outcomes were smaller in the PIM group. These results are discussed in the context of challenges faced by home visiting programs in addressing complex social conditions of high-risk families and difficulties in finding an adequate comparison group in communities where an ECD program is universally accessible. We also note the importance of setting structured and longitudinal monitoring systems together with the implementation of ECD policies.

2018 ◽  
Vol 39 (5) ◽  
pp. 595-607 ◽  
Author(s):  
Jennifer Marshall ◽  
Pamela C. Birriel ◽  
Elizabeth Baker ◽  
Leandra Olson ◽  
Ngozichukwuka Agu ◽  
...  

2005 ◽  
Vol 120 (6) ◽  
pp. 614-620 ◽  
Author(s):  
Deborah Levison ◽  
Marta Murray-Close

Credible findings from well-crafted research studies are essential in assessing the impact of child work on children's health. Researchers, however, encounter significant challenges in defining the relevant group of workers for a study and identifying an appropriate comparison group. This article describes some of those challenges and explains how choices about study and comparison groups can lead to biased research results. When selecting study groups, researchers should be aware that the impact of work on health may depend on the type and intensity of the work, and on the context in which it occurs. They should avoid drawing conclusions about the health effects of particular work situations from studies of very heterogeneous groups of workers and should not overgeneralize from studies of more homogenous groups. When choosing comparison groups, researchers should select children whose health outcomes are likely to be comparable to the outcomes working children would experience if they did not work. In particular, researchers should attempt to find children who are similar to the workers of interest on relevant non-work characteristics, including socioeconomic status and levels of parental education. In addition, they should consider the extent to which healthier children are more likely to select into the labor force as a result of decisions by parents or employers, or due to their own greater fitness. Ideally, studies of the health effects of child work should use multiple comparison groups, including children who work in relatively safe, non-strenuous occupations.


2007 ◽  
Vol 22 (4) ◽  
pp. 319-330 ◽  
Author(s):  
Maureen Heaman ◽  
Karen Chalmers ◽  
Roberta Woodgate ◽  
Judy Brown

2017 ◽  
Vol 34 (6) ◽  
pp. 531-540 ◽  
Author(s):  
Esther Jean-Baptiste ◽  
Paige Alitz ◽  
Pamela C. Birriel ◽  
Siobhan Davis ◽  
Rema Ramakrishnan ◽  
...  

2015 ◽  
Vol 37 (3) ◽  
pp. 199-208 ◽  
Author(s):  
Catherine Mogil ◽  
Nastassia Hajal ◽  
Ediza Garcia ◽  
Cara Kiff ◽  
Blair Paley ◽  
...  

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Manan Aslam, Muhammad Aslam, Muhammad Ahsin Ayub

The study investigated the impact of major factors influencing the women education in district Faisalabad. The multi-stage sampling technique was used to collect the data. The Faisalabad district was selected for this purpose. The tehsils of Faisalabad district were Faisalabad, ChakJhumra, Jaranwala, Summandri and Tandianwala. The data was collected in three phases. In first phase tehsil Faisalabad was selected and in second phase the tehsil Faisalabad was categorized into three segments based on the income distribution, the first segment represented the low-income class of the society and the second category represents the middle-class areas and the later represents the higher income group families. While in the third phase, the two areas from each class were selected for data collection using random sampling technique. The 40 respondents were selected from each class i.e. lower income, middle income and higher income. The total sample size was consisted of 120 respondents. The comprehensive questionnaire carried the information including social and economic conditions of the household was designed data collection. The data was analyzed using statistical packages for social sciences SPSS. The study inferred that the women education was influenced by the rising poverty, family income and social barriers. Finally, the study recommended that government should take steps in reducing poverty by establishing departments that raises the employment rate for women so that peoples don’t neglect the major portion of social capital the females.   


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